Cost analysis of a disaster facility at an apex tertiary care trauma center of India

Abstract

Introduction:For the Commonwealth Games 2010, Jai Prakash Narayan Apex Trauma Centre (JPNATC) of India had been directed by the Director General Health Services and Ministry of Health and Family Welfare, Government of India, to set up a specialized unit for the definitive management of the injured/unwell athletes, officials, and related personnel coming for the Commonwealth Games in October 2010. The facility included a 20-bedded fully equipped ward, six ICU beds with ventilator capacity, one very very important person observation area, one perioperative management cubicle, and one fully modular and integrated operating room.Objective:The objective of this study was to calculate the cost of disaster facility at JPNATC, All India Institute of Medical Sciences, New Delhi.Methodology:Traditional (average or gross) costing methodology was used to arrive at the cost for the provisioning of these services by this facility.Results:The annual cost of providing services at disaster facility at JPNATC, New Delhi, was calculated to be INR 61,007,334.08 (US$ 983,989.258) while the per hour cost was calculated to be INR 7061.03 of the total cost toward the provisioning of services by disaster facility where 26% was the capital cost and 74% was the operating cost. Human resource caters to maximum chunk of the expenditures (47%).Conclusion:The results of this costing study will help in the future planning of resource allocation within the financial constraints (US$ 1 = INR 62 in the year 2013).

Safe Healthcare Facilities: A Systematic Review on the Costs of Establishing and Maintaining Environmental Health in Facilities in Low- and Middle-Income Countries

“…Capital hardware costs most commonly included equipment installed after facility construction. Construction costs were only included for EHS provided in self-contained buildings that served multiple wards or units in large multi-building facilities: waste treatment facilities [ 39 ], central sterilization departments [ 40 , 41 , 42 , 43 ], and laundry facilities [ 40 , 43 , 44 , 45 ]. We found no studies that costed construction, rehabilitation, or upgrades to EHS integrated into facilities where direct patient care was provided.…”

Budgeting for Environmental Health Services in Healthcare Facilities: A Ten-Step Model for Planning and Costing

“…This framework outlines the activities required for waste management and categorizes the resource inputs required for each activity into the cost categories outlined in Table 3. We developed this example framework through a review of studies captured by the systematic review that describe resources used in waste management activities [39,49,51,[57][58][59][60][61][62][63][64][65][66][67][68][69]. We categorized these resources into cost categories, and then cross-referenced selected guidelines for waste management [42,70] to fill gaps.…”

“…The advantages of TDC are that costs can be estimated from overall budgets and that data collection is less time-intensive than BUC. TDC is well-suited to EHS which are provided through a stand-alone unit within a facility, such as a laundry department or central sterilization unit (see, e.g., [63,68,73,74],). However, a particular challenge of TDC for EHS is determining a unit of assessment.…”

What′s new in Emergencies Trauma and Shock? Calculating Costs for Disaster Preparedness!

“…Singh et al ,[7] in their study “Cost Analysis of a disaster facility at an Apex Tertiary Care Trauma Centre of India” have addressed various cost elements of establishing and operating a trauma care center in India during common wealth games period for providing emergency medical services for the players and other VIPs, etc. Singh et al ,[7] have clearly highlighted both capital cost (26%) and operating costs (74%) in establishing and operating the trauma care facilities.…”

“…Singh et al ,[7] have clearly highlighted both capital cost (26%) and operating costs (74%) in establishing and operating the trauma care facilities. Major cost (47%) is due to human resource followed by capital cost (26%), support services (19%).…”